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一例采用中药治疗的妊娠重度贫血病例。

A Case of Severe Anemia in Pregnancy Treated With Traditional Chinese Medicine.

作者信息

Zhong Suqin, Xie Ting

机构信息

Department of Traditional Chinese Medicine Ganzhou Maternity & Child Health Hospital Ganzhou City Jiangxi Province China.

Department of Traditional Chinese Medicine Pharmacy Ganzhou Maternity & Child Health Hospital Ganzhou City Jiangxi Province China.

出版信息

Clin Case Rep. 2025 Aug 1;13(8):e70672. doi: 10.1002/ccr3.70672. eCollection 2025 Aug.

DOI:10.1002/ccr3.70672
PMID:40756086
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12317101/
Abstract

This case report describes the treatment of a 29-year-old pregnant woman with severe anemia using traditional Chinese medicine (TCM). The patient, at 5 weeks of gestation, presented with a hemoglobin level of 75 g/L and had a history of autoimmune hemolytic anemia and alpha-thalassemia, which had previously led to pregnancy termination at 17 weeks. In this case, TCM was administered with a therapeutic focus on nourishing Qi and blood, tonifying the kidneys, and supporting gestational maintenance. The patient's anemia persisted throughout gestation, with fluctuating hemoglobin levels that ultimately measured 77 g/L at delivery. Despite sustained anemia and the absence of blood transfusion, the pregnancy proceeded without major complications and resulted in the full-term birth of a healthy infant weighing 2350 g.

摘要

本病例报告描述了一名29岁重度贫血孕妇的中医治疗情况。该患者妊娠5周时,血红蛋白水平为75g/L,既往有自身免疫性溶血性贫血和α地中海贫血病史,此前曾导致17周时终止妊娠。在本病例中,采用中医治疗,重点是益气养血、补肾安胎。患者整个孕期贫血持续存在,血红蛋白水平波动,分娩时最终测得为77g/L。尽管持续贫血且未输血,但妊娠过程未出现重大并发症,足月分娩出一名体重2350g的健康婴儿。

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本文引用的文献

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Analysis of Risk Factors and Establishment of a Risk Prediction Model for Severe Postpartum Haemorrhage.产后严重出血的危险因素分析及风险预测模型的建立
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Genetic Modifiers of Hemoglobin Expression from a Clinical Perspective in Hemoglobinopathy Patients with Beta Thalassemia and Sickle Cell Disease.从临床角度看β地中海贫血和镰状细胞病患者血红蛋白表达的遗传修饰物。
Int J Mol Sci. 2024 Nov 5;25(22):11886. doi: 10.3390/ijms252211886.
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Hemoglobin concentrations in early pregnancy and their associations with adverse pregnancy outcomes in Western China: a population-based study.早孕期血红蛋白浓度及其与中国西部地区不良妊娠结局的关系:一项基于人群的研究。
BMC Pregnancy Childbirth. 2024 Nov 16;24(1):761. doi: 10.1186/s12884-024-06968-0.
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Characterization of a novel 8.2 kb deletion causing beta-thalassemia.鉴定导致β-地中海贫血的一种新型 8.2kb 缺失。
Clin Biochem. 2024 Dec;133-134:110832. doi: 10.1016/j.clinbiochem.2024.110832. Epub 2024 Oct 5.
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The effect of hetrombopag combined with conventional treatment on immune function and quality of life in patients with severe aplastic anemia.地拉罗司联合常规治疗对重型再生障碍性贫血患者免疫功能和生活质量的影响。
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Chin Med. 2024 Mar 25;19(1):55. doi: 10.1186/s13020-024-00919-9.
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